Weld Coupons / UA Welder Certification Testing Order Form (Updated)

Weld Coupons / UA Welder Certification Testing Order Form (Updated)
Point of Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Local Affiliation
Email
example@example.com
Ship to Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Bill to Address (If different than shipping)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If email invoices are acceptable please enter the email address here:
Invoice Contact Name
Date Needed By

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
PO Number
Delivery Requirements
(i.e. Day of week, time of day, special instructions, if lift gate is required, etc.)
VIP Order:

SA-106B Test Coupons

Rows	Individual Pieces
1/2" Schedule 80
2" Schedule 80
2" Schedule 160
2" XXS
2 3/4" O.D. (0.625" wall)
4" Schedule 80
6" Schedule 40
6" Schedule 80
6" XXS
6" Schedule 120
10" Schedule 100
2" NPS Schedule 40 3 inch long w/square cut ends
7" x 7" x 3/16 inch thick A36 Plate
6" Schedule 80 J Bevel Prep
6" Schedule 120) J Bevel Prep
10" Schedule 100 J Bevel Prep

SA-312; Type 304, 4" long, square cut

Rows	Individual Pieces
3/4" O.D.

SB-241; Alloy-Type 6061 Aluminum

SB-75; Copper

A36 Plate Coupons